SOUTHEAST ANESTHESIA, PLC


Address: 201 Park St, Bowling Green, KY 42101-1742
Phone: 2707815111

SOUTHEAST ANESTHESIA, PLC (NPI# 1578163770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578163770
Entity Type Organization
Organization Name SOUTHEAST ANESTHESIA, PLC
Practice Address 201 Park St
Bowling Green
KY 42101-1742
Mailing Address Po Box 293151
Nashville
TN 37229-3151
Practice Telephone 2707815111
Practice Fax Number 2707800478
Mailing Telephone 6156202320
Mailing Fax Number 6156202323
Enumeration Date 2020-10-27
Last Update Date 2020-10-27
Authorized Official Name EDWARD MATTHEW DEMAREE (OWNER)
Authorized Official Telephone 6158655561
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 201 PARK ST
City BOWLING GREEN
State KY
Zip Code 42101-1742

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902800998 David Anthony Bergamini Urology 201 Park St, Bowling Green, KY 42101-1759 2005-06-08
1760096200 Ryan Michael Beard Physical Therapist 201 Park St, Bowling Green, KY 42101-1708 2020-09-02
1881204162 Kristian Patricia Lee Nurse Practitioner 201 Park St, Bowling Green, KY 42101-1708 2020-08-03
1184232548 Amy Pendleton Brown Nurse Practitioner 201 Park St, Bowling Green, KY 42101-1708 2020-07-21
1346867223 Caitlyn Elizabeth Riggs Nurse Practitioner 201 Park St, Bowling Green, KY 42101-1708 2020-06-26
1598304040 Rachel Paige Houchen Registered Nurse 201 Park St, Bowling Green, KY 42101-1708 2020-01-02
1245875996 Christie Finney Nurse Practitioner 201 Park St, Bowling Green, KY 42101-1708 2019-11-16
1164077988 Jeremy Darnell Physical Therapy Assistant 201 Park St, Bowling Green, KY 42101-1742 2019-08-08
1790246130 Jamie Powers Registered Nurse 201 Park St, Bowling Green, KY 42101-1708 2019-03-28
1194219105 Morgan R. Brown Nurse Practitioner 201 Park St, Bowling Green, KY 42101 2018-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922608827 Heidi Denise Estes Nurse Practitioner 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 2020-10-29
1205476561 Emily Nell Conner Pharmacist 350 West Us 31 Bypass, Bowling Green, KY 42101 2020-01-14
1598304180 Elizabeth Page Appling Nurse Practitioner 1681 Normal Dr., Bowling Green, KY 42101 2019-12-30
1598306227 Heather Wells Nurse Practitioner 427 U.S. 31w Bypass, Bowling Green, KY 42101 2019-10-03
1275182255 The Kidz Club-pdn, LLC Nursing Care 1537 Highway 185, Suite 3, Bowling Green, KY 42101 2019-09-11
1841756525 Balance Therapeutic Care, Counseling Services LLC Counselor 661 A, 31-w Bypass, Bowling Green, KY 42101 2019-02-18
1184104895 Paige Spear Specialist 661 Us 31w Byp Ste C, Bowling Green, KY 42101 2018-08-21
1205364411 Amanda Katherin Walden Dentist 725 A Kenton Street, Bowling Green, KY 42101 2017-06-01
1932632098 Tj & L Consulting, LLC In Home Supportive Care 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 2017-04-06
1265974117 Kentucky Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1473 Kentucky Street, Bowling Green, KY 42101 2016-11-09
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700176427 Jonathan L Lynn Nurse Anesthetist, Certified Registered 350 Park St Ste 203b, Bowling Green, KY 42101-1784 2011-04-14
1447580980 Brandy R Lux Nurse Anesthetist, Certified Registered 1801 Ashley Circle, Bowling Green, KY 42104-9024 2010-01-06
1104889427 Susan Carol Scott Nurse Anesthetist, Certified Registered 902 Elm St, Bowling Green, KY 42101-2224 2006-04-08
1396384079 Betsy Mccoy Nurse Anesthetist, Certified Registered 1801 Ashley Cir, Bowling Green, KY 42104-3362 2019-12-30
1740826387 Arron Dalton Gunderson Nurse Anesthetist, Certified Registered 250 Park St, Bowling Green, KY 42101-1760 2019-11-19
1326695487 Aleksander Nagornay Nurse Anesthetist, Certified Registered 250 Park St, Bowling Green, KY 42101-1760 2019-08-23
1568936706 Katie Fletcher Lowe Nurse Anesthetist, Certified Registered 1801 Ashley Cir, Bowling Green, KY 42104-3362 2019-01-21
1598248411 Angela Kitchens Wilhelm Nurse Anesthetist, Certified Registered 250 Park St, Bowling Green, KY 42101 2018-09-07
1316453798 Zachary Allen Stewart Nurse Anesthetist, Certified Registered 250 Park St, Bowling Green, KY 42101-1760 2017-12-20
1902312804 Tevis Clark Smith Nurse Anesthetist, Certified Registered 250 Park St, Bowling Green, KY 42101-1760 2017-12-14
Find all providers in BOWLING GREEN

Competitor

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City BOWLING GREEN
Zip Code 42101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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